Holly Elizabeth Wade, LCSW
Social Worker, Clinical in Chattanooga, TN. Individual provider (NPI-1).
NPI number1760880504
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1760880504
- Entity type
- Individual (NPI-1)
- Name
- Ms. Holly Elizabeth Wade
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2014
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6138 | TN | Yes |
| 1041C0700X | Social Worker, Clinical | 008834 | CT |
Other names
- Holly Wade Kelly (Former Name)
Practice location
801 N Holtzclaw Ave Ste 101Chattanooga, TN 37404-1236
Phone 423-697-5953 · Fax 615-743-1679
Mailing address
275 Cumberland BndNashville, TN 37228-1805
Phone 615-726-3340 · Fax 615-743-1679
Other practice locations
29 Stony Brook Rd
Darien, CT 06820-4325
Darien, CT 06820-4325
Phone 203-918-0336
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